儿童内镜逆行胰胆管造影术：来自印度北部的单中心经验。
Endoscopic Retrograde Cholangiopancreaticography in Children: A Single-center Experience From Northern India.
机构信息
Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
Department of Gastroenterology, GB Pant Hospital, New Delhi, India. Correspondence to: Dr Amarender Singh Puri, Director-Professor and Head of the Department of Gastroenterology, GB Pant Hospital, New Delhi 110 002, India.
出版信息
Indian Pediatr. 2019 Mar 15;56(3):196-198.
OBJECTIVE
To evaluate spectrum, efficacy and safety of Endoscopic retrograde cholangiopancreatography (ERCP) in pediatric population.
METHODS
Retrospective case record review of pediatric patients (age ≤15 y) undergoing ERCP between January 2011 to June 2015 at a tertiary care referral hospital in New Delhi, India. The Indications for ERCP, cannulation success rate, procedure success rate and complications were recorded.
RESULTS
The mean (SD) age of the participants were 11.5 (3) years. 164 ERCP procedures were done in 126 patients (67 males). All procedures were done under conscious sedation. The common indications for ERCP were choledocholithiasis (50, 30.5%), chronic calcific pancreatitis (38,23.2%), main pancreatic duct injury with leak (21,12.8%), and bile leak (12,7.3%). The cannulation success rate was 90.4% (114 out of 126), while procedural success rate was 86% (141 out of 164). Overall 8 complications were encountered; all were successfully managed conservatively.
CONCLUSIONS
ERCP in children can be successfully performed at centers with such expertise.
目的
评估内镜逆行胰胆管造影术（ERCP）在儿科人群中的应用范围、疗效和安全性。
方法
对 2011 年 1 月至 2015 年 6 月在印度新德里一家三级转诊医院接受 ERCP 治疗的儿科患者（年龄≤15 岁）的病例记录进行回顾性分析。记录 ERCP 的适应证、插管成功率、操作成功率和并发症。
结果
参与者的平均（SD）年龄为 11.5（3）岁。126 例患者共进行了 164 次 ERCP 检查（67 例男性）。所有手术均在清醒镇静下进行。ERCP 的常见适应证包括胆总管结石（50 例，30.5%）、慢性钙化性胰腺炎（38 例，23.2%）、主胰管损伤伴漏（21 例，12.8%）和胆漏（12 例，7.3%）。插管成功率为 90.4%（114/126），操作成功率为 86%（141/164）。共发生 8 例并发症，均经保守治疗成功处理。
结论
在具有相关专业知识的中心，儿童可成功进行 ERCP。
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